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Individual

NANCY JO WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBA, RD, CDE, CSR, L

Contact information

Practice address
11945 GRANDHAVEN DRIVE, SUITE G, MURRELLS INLET, SC 29576
(843) 839-9088
(888) 909-5897
Mailing address
1880 AUBURN LANE, 24H, SURFSIDE BEACH, SC 29575
(843) 839-9088
(888) 909-5897

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD001180
GA
133VN1005X
Renal Nutrition Registered Dietitian
R605535
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
179
SC LICENSE
SC
Enumeration date
07/24/2006
Last updated
12/05/2016
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